A survey of 150 Director and VP+ leaders across Retail and Healthcare examines where AI stands in customer service today: deployment, sophistication, architecture, measurement, and the barriers that separate early movers from the rest.
The distribution of organizations across planning, piloting, and deployment stages reveals a market that has largely moved beyond AI experimentation and into operationalization. With 77% of organizations now actively piloting or deploying AI, the conversation is no longer centered on whether AI belongs in customer service, but on what it takes to make AI perform consistently at scale.
This shift is exposing a new set of challenges. Organizations have established AI's customer-facing communication layer, but many have yet to build the underlying systems, governance models, and data foundations required to support autonomous execution. As a result, the gap between AI deployment and AI performance is becoming increasingly apparent.
The next phase of maturity will therefore be defined less by introducing new AI capabilities and more by operationalizing existing ones. Across both Retail and Healthcare, competitive advantage is shifting toward organizations that can effectively connect AI to systems of action, preserve customer context across channels, and establish clear frameworks for human-AI collaboration.
All Industries · n=150 · Retail and Healthcare combined unless noted
The AI capability stack drops sharply after retrieval and routing. There are two distinct cliffs: −19 points from Sentiment & Intent to Proactive Engagement, then another −17 to Autonomous Resolution. Organizations have built the foundation but haven't climbed the stack.
The 55-point drop from Information Retrieval (80%) to Autonomous Resolution (25%) represents the gap between AI that knows things and AI that does things. Most organizations are firmly in the former.
Most conversations about AI failure focus on comprehension: AI that misunderstands intent, misreads context, or escalates unnecessarily. The data points to a different problem. The second most common trigger for AI-to-human handoffs is not confusion. It is capability. 21% of handoffs occur because AI understood the request but lacked the technical ability to complete it.
Only 45% of organizations have AI directly connected to the systems it needs to act on customer information. Only 33% have the customer's full cross-channel history available at the point of interaction. The result is an AI layer that can understand what needs to happen but has no path to make it happen. Every time that gap is hit, the interaction transfers to a human, the cost rises, and the resolution that AI was supposed to deliver does not.
Organizations have point-in-time data. They do not have cross-channel memory. And the channel where memory breaks down most visibly is the one customers still reach for when a problem is serious.
62% of organizations have real-time customer data at the start of each interaction. Only 30% maintain context across voice and digital. Only 13% preserve it fully when a customer switches channels. Voice AI runs 14 points behind chat and Agent Assist on sophistication, with nearly 3× the "not in use" rate. The result: the channel customers default to for complex or emotionally charged issues is the least equipped to carry their history into the conversation.
This is not a voice problem in isolation. It is a channel architecture problem. AI can retrieve information. It cannot remember the customer. Those are not the same capability, and most organizations have built only the first one.
The top AI-to-human handoff trigger is scope, not technical failure. 29% cite requests falling outside AI's defined decision rules as the primary trigger. Among Planning-stage organizations, 83% cite undefined rules as a barrier to autonomous AI. At Deployed stage: 25%. That 58-point drop tracks almost exactly with the gap between organizations that have deployed and those that haven't.
Defining what AI can and cannot do is the entry ticket to deployment, not something that emerges from it. Organizations that have done it are deployed. Organizations that haven't are not.
68% say AI metrics are tied to measurable ROI, but only 43% have enough data to state whether AI is paying off. The measurement infrastructure exists; the evidence base does not. And 54% cannot yet distinguish a truly resolved ticket from a deflected one, so the resolution data they are collecting may be overstating AI's actual performance.
Most organizations have built measurement infrastructure. The problem is evidence quality. And the evidence quality problem starts with how resolution is defined. When asked what must be true for an interaction to count as resolved, 39% of organizations include "customer stopped responding for a set period" as a valid criterion. Silence is being counted as success. A further 51% count "case closed without a human agent", regardless of whether the underlying issue was actually addressed.
The metric choices compound the problem. Containment Rate (52%) ranks above Resolution Rate (43%) as the most commonly used AI performance metric. Organizations are measuring whether AI kept the customer away from a human before they are measuring whether AI solved the customer's problem. Avoidance is being tracked more carefully than outcomes.
ROI claims built on these definitions are not measuring AI performance. They are measuring AI activity. The gap between the two is where AI's real value, or lack of it, actually lives. Until organizations tighten what counts as resolved, the measurement infrastructure they have built will continue producing numbers that look good and mean less than they should.
Across both industries, AI follows the same pattern: high-volume, transactional service areas first; sensitive and clinically complex areas last. The pattern is consistent, and it follows the same logic across both industries: structure first, judgment last.
| Service Area | Distribution | T+A |
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| Service Area | Distribution | T+A |
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Order Management leads at 56%, the highest of any service area in the dataset. Clinical Queries and Grievances sit at 17%: both healthcare service areas where an error has direct patient consequences. The gap between them is not accidental.
61% have designed clear rules for what AI handles and when humans take over. The remaining 39% are operating without that structure. Of those, 11% have reduced human agents to pure overflow with no defined role, no triggers, and no handoff logic.
Scaling AI in customer service requires designing the human role with the same care as the AI role. Treating human agents as backstops rather than designed participants is a governance gap, not an efficiency choice.
The largest single divergence in the dataset: regulatory constraints hit Healthcare at 63% vs. Retail at 29%, a 33-point gap. Retail's ceiling is structural, driven by systems and integration gaps. Healthcare's ceiling is set by compliance and governance. The path to scale is different in each industry because the obstacle is different.
The barriers to AI autonomy extend beyond technology itself. Organizations report a mix of operational, governance, and trust-related challenges, indicating that scaling AI requires progress across multiple foundational areas rather than a single capability improvement.
Across both Retail and Healthcare, organizations are actively deploying and piloting AI capabilities. The greater challenge is turning those capabilities into consistent customer outcomes. The organizations making the most progress are not necessarily investing in more AI. They are addressing the operational, architectural, and governance gaps that stand between AI deployment and AI performance.
The top trigger for AI-to-human handoffs is not capability failure but requests falling outside AI's defined authority. Organizations should establish clear decision boundaries, escalation triggers, and approval thresholds before increasing AI autonomy.
AI cannot resolve issues it cannot act on. Connecting customer service AI to operational systems — CRM, order management, payments, scheduling, workflow platforms — is essential to closing the gap between understanding a request and completing it.
Many organizations continue to prioritize containment, deflection, and handle-time metrics. Leaders should focus on measures that reflect customer outcomes — resolution rate, customer effort, and business impact.
Human involvement should not be treated as a fallback. Organizations need clear rules for when employees intervene, what decisions require human judgment, and how AI and people work together throughout the customer journey.
The next phase of customer service AI will be shaped less by advances in the technology itself and more by how effectively organizations operationalize it. Clear decision authority, connected systems, meaningful measurement, and well-defined human involvement are increasingly becoming the factors that separate successful deployments from stalled initiatives.
AI in customer service is entering a new phase of specialization. Early adoption was defined by broad experimentation, with organizations across industries deploying similar technologies and following comparable playbooks. That approach is becoming insufficient. The differentiator is shifting away from the technology itself and toward the environment in which it operates, with industry-specific realities increasingly determining how organizations scale and where they encounter friction.
Organizations are no longer competing on their ability to deploy AI, but on their ability to adapt it to the realities of their business. There is no singular path to AI maturity, and generic, one-size-fits-all approaches are approaching their ceiling. Competitive advantage now belongs to organizations that focus on deep backend integration, outcome-based measurement, and deliberate human-in-the-loop governance.
This survey examines two industries, Retail and Healthcare, each with distinct customer service operating realities, distinct constraints, priorities, and risk profiles that shape how AI is deployed and scaled. The industry findings unpack the factors that accelerate or constrain AI adoption and highlight the capabilities organizations need to build to succeed within each environment.
For retailers, customer service has become far more than a support function. In an environment defined by rising customer acquisition costs, increasing competitive pressure, and fragile brand loyalty, every customer interaction directly impacts retention, repeat purchase, and long-term revenue. A delayed delivery, an unresolved return, a loyalty issue, or a billing dispute is no longer simply a service event. It is a moment that can strengthen customer trust or accelerate revenue leakage.
Retailers are increasingly turning to AI to address these pressures. Nearly 8 in 10 have either deployed or are actively piloting new capabilities. The investment rationale is operational: 64% are investing to manage rising interaction volumes without increasing headcount, 60% to reduce response and wait times, and 52% to improve first-contact resolution.
These investments are delivering measurable efficiency gains, but efficiency is only part of the equation. True customer resolution is a distinct outcome altogether. The research suggests that while most retailers have built AI that can engage customers and retrieve information, far fewer have built the continuity required to carry those interactions from issue to outcome. Nearly 1 in 4 AI-to-human handoffs happen not because the problem was too complex, but because AI understood the request and could not complete it.
Traditional service metrics like response times and closure rates fail to measure actual problem resolution. 41% of retailers count a customer simply stopping communication as a successful outcome. As AI integrates deeper into customer service, the standard for success is shifting away from speed alone. Customers ultimately judge service by whether they achieved their desired outcome with minimal effort and friction, requiring organizations to move from tracking passive activity to verifying true resolution.
For retailers, delivering that outcome is rarely a single-system exercise. Resolving a delayed shipment, processing a return, correcting a billing issue, or restoring loyalty points often requires information and actions to move across multiple channels, applications, and teams. This is where many customer service experiences break down. AI may be able to answer a question or retrieve information, but resolution depends on maintaining context and coordinating execution across the broader retail ecosystem.
Organizations that consistently achieve resolution have built the operational foundations to support it. They combine Shared Knowledge that preserves customer context, Connected Execution that enables action across systems and workflows, and Trusted Governance that ensures decisions remain accountable and aligned with business rules. Together, these capabilities transform AI from a tool that responds to customer inquiries into one that helps drive meaningful customer outcomes.
Today's retail ecosystem is fundamentally distributed. Customer journeys move fluidly across social discovery, in-app research, physical storefronts, and digital touchpoints before a single service interaction even begins. Each of those touchpoints generates intent, context, and history that is critical to resolving what comes next.
But within customer service specifically, the most acute version of this problem is the channel handoff. When a customer moves from chat to voice, from a digital interaction to a human agent, or from one service touchpoint to the next, the context built in the previous interaction rarely travels with them. The data does not disappear. It simply never connects. Closing that gap requires something most retail organizations have not yet built: a live customer record that moves with the interaction, not with the system that last touched it. One that every channel draws from in real time, that every agent receives the moment a transfer happens, and that never asks the customer to fill in what the previous touchpoint already knew. Without it, every transition is a reset. Every reset is a failure. And in retail, where service interactions are already emotionally charged, failure at the handoff is where customers stop trying.
As retailers accelerate their investments in artificial intelligence, many are confronting a structural challenge: organizations are highly proficient at capturing customer data at the initial point of contact, but they lack the integrated infrastructure to maintain that data throughout the entire customer journey. Because siloed backend systems struggle to share information in real time, valuable context is often lost the moment a shopper transitions between channels.
Voice is the channel customers turn to when digital self-service fails or a problem becomes urgent. Yet it is historically built on an entirely separate infrastructure track from digital channels. Because these systems lack a shared memory layer, the voice channel routinely inherits zero history. The customer is forced to manually re-explain a journey they have already taken, turning a high-stakes customer interaction into a repetitive and frustrating experience.
In customer service, a partial history does not produce partial resolution. It produces an incorrect one. When AI or a live agent operates with gaps in a customer's record, assumptions fill the space that data should occupy. Those assumptions introduce errors precisely when accuracy matters most: a billing dispute, a missed delivery, a return gone wrong. And when organizations measure resolution by whether a customer called back rather than whether their issue was actually resolved, they are not tracking satisfaction. They are tracking silence.
The retailers closing the context gap are not building more data repositories. They are building infrastructure that makes customer history available at the moment it is needed, without requiring anyone to go looking for it.
AI in retail customer service has made significant progress on the first half of customer service: understanding what the customer wants. It can interpret a return request, identify the order, confirm eligibility, and determine the correct resolution path. But understanding is only half the job. The second half is execution. And execution requires AI to reach into live systems, trigger workflows, and complete actions across a technology stack that was never designed for that level of real-time coordination. For most retail organizations, that is where the thread breaks. Not because AI lacks intelligence. Because the systems it needs to act on are not connected.
Retail technology stacks are among the most fragmented in any industry. An OMS built in 2015. A loyalty platform acquired in 2019. A payment processor on a third-party API. An in-store POS that has never connected to the digital channel. AI sits on top of this stack and is asked to act across it in real time. Most stacks were not built for that. The result is an AI that comprehends the problem completely and cannot solve it at all. Understanding without execution is not a capability. It is a more sophisticated deflection.
When AI in customer service transfers an interaction to a live agent, organizations traditionally assume the issue was simply too complex for automation. The data reveals a far more costly reality: the vast majority of human transfers are infrastructure failures, not intelligence failures. Only a fraction of customers actually ask for a human, and even fewer transfers happen because an issue is genuinely too complex. Instead, the primary trigger for human escalation is that the AI hits a technical wall. The system completely understands what the customer wants, but it is forced to abandon the interaction simply because it lacks the backend clearance to click the final button. Retailers are systematically burning expensive contact-center budgets not to solve complex customer problems, but to have humans act as manual data-bridges for tasks the AI has already figured out.
Currently AI in customer service can complete information lookups but struggles to complete the actions that actually resolve the issue. The autonomous action data reveals a sharp drop as the stakes increase. Real-time information retrieval is the most commonly enabled capability. Payment and billing workflow completion is among the least. The interactions customers care most about resolving are the ones AI is least equipped to finish.
AI in retail customer service faces a governance challenge that few other industries experience in quite the same way. Organizations have deployed AI into service workflows without building the decision frameworks that tell it what it is permitted to do at each step, and without building the measurement infrastructure to know whether those decisions are producing the right outcomes. The result is an AI that reaches the edge of its defined authority and stops, and an organization that often cannot tell whether that stop was the right call. No one planned either gap. They just happened. And they happen most often in the interactions where customers need AI to go furthest: complaints, billing disputes, escalations, and any moment where the stakes of getting it wrong are a relationship, not just a ticket.
The most common trigger for AI-to-human transfer in retail is not a technical failure. It is not a capability gap. It is a governance gap. AI reached a situation it was never authorized to handle and defaulted to a human, not by design but by absence of design. That absence is not a neutral position. It is a decision, made implicitly, to leave the most consequential service interactions without a framework.
Organizations have deployed AI across service workflows without building the measurement infrastructure to know whether governance is working. Where authority is undefined, outcomes go untracked. And where outcomes go untracked, the governance gap compounds silently.
When AI reaches its limit without a designed handoff, the human who takes over is not equipped to continue the journey. They receive a transfer without context, without a summary of what was attempted, and without logic for what should happen next. The interaction does not continue. It restarts. For organizations that have reduced human agents to pure overflow with no defined role at all, there is no structure for what happens when AI fails. The customer lands somewhere undefined, with someone unprepared, carrying a history the system lost several touchpoints ago.
Retail organizations have not failed to invest in AI. They have invested in too many places at once. The average enterprise runs more than five disparate communication and collaboration platforms. Each solves a piece of the problem. None were built to work with the others. The result is a fractured ecosystem where context breaks at the handoff, execution stops at the integration wall, and governance has no shared foundation to sit on.
Retailers that continue addressing each gap independently will continue generating the same costs. Point solutions built the problem. Only the right foundation closes it.
The retailers that win in customer service are the ones that build on a single foundation where context never breaks, execution is instant, and trusted governance is locked directly into the code.
For years, customer service has prioritized cost reduction and scalability through aggressive automation. Healthcare is now following a similar path to combat administrative overload, workforce shortages, and rising patient expectations. However, patient interactions are fundamentally different. They are emotionally charged, clinically significant, and deeply personal.
Consequently, the traditional automation playbook does not translate directly to healthcare. While AI excels at processing information, patients still require human empathy, judgment, and trust. Our research highlights this boundary clearly: while 79% of healthcare organizations use AI for information retrieval, only 23% permit autonomous resolution.
The path forward is not about replacing human involvement. It is about responsibly allocating roles between humans and machines. Leading organizations are achieving this through a balanced, three-part framework:
Automate: Offload high-volume, low-complexity administrative tasks.
Augment: Equip staff with the real-time context and insights needed to deliver better care.
Govern: Establish clear policies and guardrails to ensure patient safety, compliance, and accountability.
Our research suggests that successful AI adoption in healthcare patient support is not defined by a single technology or capability. Instead, leading organizations are taking a deliberate approach, applying AI across different layers of the service experience based on the level of autonomy, human involvement, and oversight each interaction requires.
The organizations leading this transition are not simply deploying more AI. They are deploying it with purpose: automating what AI should own, augmenting what people should lead, and governing everything in between.
The administrative layer of healthcare patient support generates enormous volume with limited clinical complexity. Scheduling, billing, eligibility verification, record updates, care coordination handoffs.
These interactions follow predictable patterns and draw on structured data.
Automation handles them at scale, without manual intervention, freeing clinical and support staff for the interactions that actually require their judgment.
Augmentation uses AI to enhance human expertise during more complex patient interactions.
Rather than replacing employees, AI acts as a real-time assistant, surfacing context, recommendations, and next-best actions that help staff deliver faster and more informed service.
As patients move between voice, chat, messaging, portals, and other touchpoints, AI helps preserve context across channels, reducing repetition and enabling more personalized, connected experiences.
Automation and augmentation expand what AI can do. Governance determines what AI is permitted to do.
In healthcare, that distinction is not procedural. It is the difference between AI that operates within a defined and auditable boundary and AI that acts without one.
Governance establishes where autonomous action is appropriate, where human review is required, and how every outcome is measured against something more meaningful than whether the interaction closed.
Healthcare organizations are not short on expertise. They are overwhelmed by process. Scheduling appointments, verifying eligibility, updating records, coordinating referrals, and managing follow-up activities create enormous operational burden across patient support functions. AI creates the greatest value when it removes this repetitive work from already constrained teams.
Most healthcare organizations begin interactions with access to patient information. The challenge emerges as patients move across channels, departments, and workflows. Every transition creates an opportunity for context to be lost, forcing information that already exists to be reconstructed, repeated, or rediscovered.
The gap between these two figures reveals healthcare's first automation challenge. Information is available, but continuity is not. Every handoff creates the risk that context already collected must be reconstructed, repeated, or rediscovered.
The loss of context is rarely a data problem. It is an architecture problem. Patient support journeys span communication platforms, electronic health records, scheduling tools, billing systems, and care coordination workflows that often operate independently of one another. When these systems are disconnected, AI can retrieve information but cannot reliably carry it forward or act on it.
Until underlying systems are connected, healthcare organizations will continue asking patients and employees to bridge those gaps manually.
Most healthcare AI deployments today focus on helping patients access information.
This reveals a significant maturity gap. Healthcare has largely automated information discovery. It has not yet automated information flow. Until patient context can move seamlessly across systems, channels, and workflows, healthcare organizations will continue asking patients and employees to bridge those gaps manually.
Healthcare's greatest constraint is rarely expertise. It is capacity. Clinicians, care coordinators, schedulers, contact center agents, and support teams often know exactly what needs to happen next. The challenge is managing growing volumes of interactions, administrative responsibilities, and patient needs while maintaining quality, empathy, and responsiveness. Unlike other industries, healthcare organizations are not rushing toward fully autonomous service models. Instead, they are using AI to strengthen the people responsible for patient outcomes. The goal is not to replace human judgment. It is to reduce the administrative burden surrounding it.
The research reveals a clear preference for augmentation over autonomy. Organizations are comfortable using AI to assist employees, but far more cautious about allowing AI to act independently on behalf of patients.
Healthcare leaders are not pursuing AI for its own sake. They are applying it where it can improve workforce effectiveness while preserving human accountability.
Many healthcare interactions generate significant work beyond the conversation itself. Scheduling appointments, coordinating referrals, updating records, verifying eligibility, documenting interactions, and managing follow-up activities all place demands on already constrained teams.
The opportunity is not simply efficiency. It is allowing healthcare workers to spend less time managing processes and more time supporting patients.
The most mature organizations are designing AI to work alongside employees rather than around them.
This reflects an important reality. Many patient interactions require judgment, empathy, and contextual understanding that cannot be reduced to a workflow. Rather than eliminating human involvement, organizations are defining how AI and people work together to deliver better outcomes.
Healthcare organizations are making rapid progress in deploying AI across patient support, scheduling, and care coordination. The technology is becoming increasingly capable of retrieving information, supporting employees, and automating routine tasks. Yet capability alone does not create trust. As AI takes on greater responsibility, organizations must determine where AI is permitted to act, where human intervention is required, and how decisions are monitored over time. In healthcare, these boundaries are particularly important. Every interaction carries operational, regulatory, and patient experience implications that require clear accountability.
Healthcare organizations recognize AI's potential, but many remain cautious about expanding its role in patient-facing interactions.
The issue is not simply technology maturity. Organizations must be confident that AI can operate safely, consistently, and within acceptable risk boundaries before they allow it to take on greater responsibility.
Successful AI adoption requires more than technical capability. It requires clear rules that define when AI can act independently and when decisions should be escalated to a human.
In many cases, AI does not fail because it lacks the ability to continue. It stops because the organization has not determined whether it should.
Governance requires visibility into what AI is actually accomplishing. Organizations that cannot distinguish between successful outcomes and incomplete interactions struggle to evaluate performance, identify risk, and improve decision-making. As AI becomes more embedded in healthcare operations, measuring outcomes will become just as important as measuring efficiency.
Trust is built not by assuming AI is working, but by continuously validating that it is.
In healthcare, the stakes of customer service leave little room for error. The challenge is no longer deploying AI, but determining how it should participate in customer interactions, when it should act independently, when it should support a human agent, and when human intervention is required. While the Automate, Augment, and Govern framework provides a strategic approach for making these decisions, executing it consistently at scale depends on the underlying infrastructure. For the framework to operate as a unified system that balances efficiency, safety, and accountability, organizations must establish three operational foundations.
Safe, scalable AI is built on infrastructure, not applications alone. Organizations that establish these foundational capabilities will be able to expand AI adoption while maintaining trust, compliance, and operational control.
Every question in the survey, charted. Pick a question from the left; where a question supports it, switch the cut to compare overall, retail, and healthcare responses. Base: n=150 unless noted; industry cuts are n=75 each.